Apple Infusion Customer Satisfaction Survey

This survey is only for clients who have received service and/or equipment from our Infusion Staff and/or Infusion Delivery Technicians

We are interested in your opinion of the Infusion Services we provide to you.
To help us maintain the highest level of professional care and service we request you complete the following survey.
Answering the following questions will help us to evaluate and improve our service to you and all our other valued customers.
Thank you for choosing Apple Infusion

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The facilitator who spoke with me to arrange for my home infusion needs was courteous, helpful and knowledgeable:*

Very Satisfied

Satisfied

Not Satisfied

Not Applicable

The equipment and /or supplies were provided in a timely manner at the agreed upon time:*

Very Satisfied

Satisfied

Not Satisfied

Not Applicable

The equipment and / or supplies were clean when I received them:*

Very Satisfied

Satisfied

Not Satisfied

Not Applicable

I was instructed on who / where to call with questions, problems or concerns:*

Very Satisfied

Satisfied

Not Satisfied

Not Applicable

My rights and responsibilities were explained to me:*

Very Satisfied

Satisfied

Not Satisfied

Not Applicable

My financial responsibilities were explained to me:*

Very Satisfied

Satisfied

Not Satisfied

Not Applicable

Overall, I was pleased with the equipment / supplies and services provided to me:*

Very Satisfied

Satisfied

Not Satisfied

Not Applicable

I would recommend the services from Apple Infusion to a friend or family member:*